PALS All Questions with Answers | 100% Correct Answers | Verified | Latest 2025/2026 Version
You are caring for a child who was resuscitated after a drowning event. The child is intubated and
ventilated with 100% oxygen with equal breath sounds and exhaled CO2 detected. The heart rate is slow
and the monitor shows sinus bradycardia. The skin is cool, mottled, and moist; distal pulses are not
palpable and the central pulses are weak. Intravenous access has been established. The core
temperature is 37.3oC. Based on the PALS bradycardia algorithm, which of the following should be
provided first?
Epinephrine IV
Transcutaneous pacing
Atropine IV
Dobutamine IV infusion - ✔✔Epinephrine IV
You are caring for a 5-year-old patient with supraventricular tachycardia (heart rate = 220/min). The child
is lethargic. The skin is pale and cool with delayed capillary refill. Distal pulses are not palpable. Which of
the following would be the best treatment to provide without delay?
Place cold packs on the distal upper and lower extremities
Ask the child to blow through a small straw
Exert light pressure on the eyes bilaterally
Provide synchronized cardioversion at 0.5 to 1 J/kg - ✔✔Provide synchronized cardioversion at 0.5 to 1
J/kg
You are initiating treatment for a child with septic shock and hypotension. While administering high-flow
oxygen you determine that the child's respirations are adequate and SpO2 is 100%. You have just
established vascular access and obtained blood samples. Which of the following is the next most
appropriate therapy to support systemic perfusion?
Administer repeated fluid boluses of isotonic colloid
Administer repeated fluid boluses of isotonic crystalloid